مرض بوين في منطقة حول العين أو وحدة الظفر — عندما لم تحقق الجراحة من الخط الأول إزالة كاملة للآفة

References

DOI: 10.1093/bjd/ljac042

• Consider Mohs micrographic surgery in people with SCC in situ when tissue conservation is important, such as around the eyes and the nail unit.
• Lesions are considered large if > 2 cm and are considered high risk at periocular and digital (and penile) sites.
• Where Mohs micrographic surgery is not available or not appropriate, consider active treatment with any suitable alternative, on an individual basis. This includes standard surgical excision, curettage with cautery, PDT, 5-fluorouracil (5%), imiquimod (5%), laser and cryotherapy.
• Where this service is available, consider laser treatment in people with SCC in situ where other treatments have failed or are not suitable. Ablative CO2 laser may be more effective than nonablative neodymium:YAG.